| NPI | 1851325369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115512) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 102434) |
| 363AS0400X Physician Assistant Surgical (Licence: CA 17890) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-08-29 |