| NPI | 1144953647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12426) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12574) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 12426) | |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2024-12-12 |