| NPI | 1437566551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107990) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO PA.0006673) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2023-10-30 |