| NPI | 1932156312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2370) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9102078) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-05-24 |