| NPI | 1841347671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104849) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 009653) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2018-03-17 |