| NPI | 1568614907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000650) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C5-0000650) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2017-09-15 |