| NPI | 1184260184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061247) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MA061247) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-09-26 |