| NPI | 1871087510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: VA E041176003) |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2018-07-12 |