| NPI | 1437570827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107532) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9107532) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2021-11-29 |