| NPI | 1144719642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: AZ 7079) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2021-11-20 |