| NPI | 1144240268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-2160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 102487) |
| 363A00000X Physician Assistant (Licence: NC 102487) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-05-11 |