| NPI | 1962185306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C09007) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD C09007) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-09-11 |