| NPI | 1598775207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118900) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002426) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-08-15 |