| NPI | 1851639017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110009272) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107070) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2024-10-07 |