| NPI | 1437509437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2016023388) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9109452) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-02-22 |