| NPI | 1437329950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 009245) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104509) |
| 363A00000X Physician Assistant (Licence: NC 0010-06470) | |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2020-07-27 |