| NPI | 1437154887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104558) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA18797) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-09-01 |