| NPI | 1700043387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C50000614) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C5-0000614) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2015-05-15 |