| NPI | 1033183215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY PA708) |
| 363AM0700X Physician Assistant, Medical (Licence: KY KY PA # 708) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-11-22 |