| NPI | 1760798052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105470) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2014-06-03 |