| NPI | 1598460099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ID 202740) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2025-11-17 |