| NPI | 1538538715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C08035) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9108880) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2022-04-27 |