| NPI | 1083666796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 1708) |
| 363AS0400X Physician Assistant, Surgical (Licence: WI 1708) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-01-15 |