| NPI | 1235965419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MA PA101077) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-10-09 |