| NPI | 1841343985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA 9106085) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601003193) |
| 183500000X Pharmacist (Licence: MI 5302029356) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2021-03-24 |