| NPI | 1780951707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4982) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106312) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2017-04-26 |