| NPI | 1477936326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 2825) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108790) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2024-01-10 |