| NPI | 1245461557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 55261) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 238448) |
| 363A00000X Physician Assistant (Licence: FL PA9105086) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2021-07-27 |