| NPI | 1467223347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118360) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0009285) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2025-01-02 |