| NPI | 1891404232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0007617) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116592) |
| 207P00000X Emergency Medicine (Licence: FL PA9116592) | |
| 363A00000X Physician Assistant (Licence: NY 031818-01) | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-08-15 |