| NPI | 1568854024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA 9108466) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.2650) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2026-05-12 |