| NPI | 1851002786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119548) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12843) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2025-03-06 |