| NPI | 1831581727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119534) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-06092) |
| 363A00000X Physician Assistant (Licence: OH 50.007854rx) | |
| 363A00000X Physician Assistant (Licence: NY 029434-01) | |
| 363A00000X Physician Assistant (Licence: SC TL2281) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2025-02-27 |