| NPI | 1942621537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: GA 6656) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2018-03-14 |