| NPI | 1851624985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA-2702) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA0002702) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2010-11-02 |