| NPI | 1437809373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11042) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9115535) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-10-18 |