| NPI | 1114303526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL 517399) |
| 146N00000X Emergency Medical Technician, Basic | |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2021-03-27 |