| NPI | 1932541505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3924) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107336) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2019-11-06 |