| NPI | 1942889928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9117352) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-07-24 |