| NPI | 1982145793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 137995) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110118) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-05-23 |