| NPI | 1699927830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104799) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9104799) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2025-01-08 |