| NPI | 1528253259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA 3552) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA3552) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2009-09-18 |