| NPI | 1811203169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C5-0000729) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2011-10-26 |