| NPI | 1366417867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL PA1908) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA1908) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-08 |