| NPI | 1144870973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9470) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 5738) |
| 207P00000X Emergency Medicine (Licence: GA 9470) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2026-01-28 |