| NPI | 1528022001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 1850005253) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019584-1) |
| 363AM0700X Physician Assistant, Medical (Licence: FL pa9103446) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-10-16 |