| NPI | 1952635724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA 9105153) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105153) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2025-08-12 |