| NPI | 1427602671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031617) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DC PA031617) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-08-07 |