| NPI | 1447204003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA0003495) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-09-12 |