| NPI | 1467881615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107493) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: FL PA9107493) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2021-01-22 |