| NPI | 1366766735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2010008198) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2013-07-19 |