| NPI | 1669707477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104130) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: FL PA9104130) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2015-04-29 |