| NPI | 1972062818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112353) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-10-05 |