| NPI | 1346758075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07815) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 0010-07815) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-03-21 |