| NPI | 1871562835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3353) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106053) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-11-17 |