| NPI | 1598844987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9116891) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-00740) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2023-04-05 |