| NPI | 1871948596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114762) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-665) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-02-21 |