| NPI | 1780884809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 10751) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 1075102) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2022-07-21 |