| NPI | 1831142330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9101505) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9101505) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-04-29 |