| NPI | 1740965326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 8441-23) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 8441-23) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2026-02-10 |