| NPI | 1093409054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601011784) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5601011784) |
| 208000000X Pediatrics (Licence: MI 5601011784) | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-04-04 |