| NPI | 1437685898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116884) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1262) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-04-10 |