| NPI | 1922571926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111893) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 62973) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2024-08-07 |