| NPI | 1609590223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C08651) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD C0008651) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-11-21 |