NPI | 1386148468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MA059725) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MA059725) |
363A00000X Physician Assistant (Licence: PA MA059725) | |
363AM0700X Physician Assistant, Medical (Licence: PA MA059725) | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2023-08-30 |