| NPI | 1285305631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MD 0214782) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2023-07-01 |