| NPI | 1407193014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8448) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 8448) |
| 207P00000X Emergency Medicine (Licence: GA 8448) | |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2024-05-10 |