| NPI | 1134789209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0007271) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD C0007271) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-03-29 |