| NPI | 1508007287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA 9104696) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA09022) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2014-09-10 |