| NPI | 1174016455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA PA55605) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2019-0058) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-06-10 |