| NPI | 1730710146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114514) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-09675) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2023-09-05 |