| NPI | 1720229206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110981) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013041) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2025-04-10 |