| NPI | 1508751538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY PA3740) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA3740) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-12-26 |