| NPI | 1487791893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA 9101238) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: FL PA9101238) |
| 207Q00000X Family Medicine (Licence: FL 9101238) | |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: FL 9101238) | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: FL 9101238) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: FL 9101238) | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: FL 9101238) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-03-05 |