| NPI | 1770741258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA-584) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FM PA9104863) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-05-07 |