| NPI | 1982643672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116286) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-145) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-03-19 |