| NPI | 1992001432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-976) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105892) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2022-06-03 |