| NPI | 1427596709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 330386) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110086) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2022-10-04 |