| NPI | 1093413791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA PA9220) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA9220) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2025-06-30 |