| NPI | 1861125403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN Pending) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-11-15 |