| NPI | 1346055548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY TC125) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: KY 1235330) |
| 363AS0400X Physician Assistant, Surgical (Licence: KY TC125) | |
| 363AM0700X Physician Assistant, Medical (Licence: KY TC125) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 1235330) | |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: KY 1235330) | |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-09-11 |