| NPI | 1841691656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115850) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007166) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2025-07-17 |