| NPI | 1861250722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110010356) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0110010356) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-10-16 |