| NPI | 1437956588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9120131) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 14465) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2026-10-12 |