| NPI | 1972807964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9109740) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH7415) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2026-02-23 |