| NPI | 1457342602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 3002) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 3002) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2008-01-24 |