| NPI | 1548287147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107178) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2005030570) |
| 363A00000X Physician Assistant (Licence: MO 2005030570) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-08-30 |