| NPI | 1073095055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 156352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 123456) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2025-08-24 |