| NPI | 1376570853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C01065) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD C0001065) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-07-30 |