| NPI | 1881170686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9118175) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 022161-1) |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2024-03-27 |