| NPI | 1003394545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA PA9111440) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL PA9111440) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2020-10-01 |