| NPI | 1134804610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA PA62704) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 1208370) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2024-07-24 |