| NPI | 1144569435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0110003903) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003903) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2024-02-16 |