| NPI | 1508108556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9106840) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: FL 11494) |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2015-03-31 |