| NPI | 1780277210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10264) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 9113854) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2022-05-20 |