| NPI | 1477802965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9114194) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2023-12-13 |