NPI | 1649270604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06721) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MP00057800) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2010-10-22 |