| NPI | 1598213886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 53867) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9109799) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-12-10 |