| NPI | 1902780992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 8682-23) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 207P00000X) |
| Enumeration Date | 2025-08-02 |
| Last Update Date | 2025-10-14 |