| NPI | 1336503630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 53935) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-05-23 |