| NPI | 1730411018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3531) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL PA.685) |
| 363A00000X Physician Assistant (Licence: AL PA.685) | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2018-10-08 |