| NPI | 1962913921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 3112) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 3112) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2023-04-20 |