| NPI | 1205138419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MA 862889) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2012-02-02 |