| NPI | 1437308657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA2595) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363A00000X Physician Assistant (Licence: FL PA9108129) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2022-09-15 |