| NPI | 1497725527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105394) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 006251) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2010-05-28 |