| NPI | 1982695615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 2601) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 59918) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2022-11-09 |