| NPI | 1891437869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011097) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5601011097APP22) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-04-07 |