| NPI | 1023597598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0006857) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD C0006857) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2023-10-17 |