| NPI | 1346207388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 005205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PA16755) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-09-09 |