| NPI | 1548649825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115096) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12787) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2021-10-01 |