| NPI | 1548447691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA-9104968) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051652) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2013-06-06 |