| NPI | 1447580840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: FL PA9114846) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CT 002890) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2024-05-07 |