| NPI | 1134813413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI Pending) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-08-24 |