| NPI | 1982238234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117240) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2439) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-05-08 |