| NPI | 1407244247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9108441) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PAT9108441) |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2015-04-08 |