| NPI | 1578325312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118324) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2025-05-19 |