| NPI | 1467935213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9111663) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2021-12-10 |