| NPI | 1487759452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 004040) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 004040) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-10-16 |