| NPI | 1174241061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12422) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 0010-12422) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-09-26 |