| NPI | 1235238353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: GA 004689) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 004689) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-08-01 |