| NPI | 1841357191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9120467) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052849) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2026-03-26 |