| NPI | 1417495052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: TX PA11053) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2024-01-18 |