| NPI | 1255833158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7032) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 7032) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 2890) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2020-07-02 |