| NPI | 1073524864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9103579) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9103579) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-02-07 |