| NPI | 1316607138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12138) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 0010-12138) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-12-18 |