| NPI | 1851595201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-00926) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 15-00926) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-12-17 |