| NPI | 1124616917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9113591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 9113591) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-01-30 |