| NPI | 1063907848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD C0008932) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-09-01 |