| NPI | 1063415180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA A10535) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA PA.A10535) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2024-08-07 |