| NPI | 1447653506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117083) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057192) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2023-02-16 |