| NPI | 1770552051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IA 001550) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 001550) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-07-20 |