| NPI | 1336372515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: ID PA-1934) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: DE C5-0000671) |
| 207P00000X Emergency Medicine (Licence: DE C50000671) | |
| 363AS0400X Physician Assistant Surgical (Licence: DE C50000671) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-10-13 |