| NPI | 1316087208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 00603) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 00603) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-05-22 |