| NPI | 1396441325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.9386) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MP00760100) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2026-05-01 |