| NPI | 1184276271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09191) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 0010-09191) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-08-12 |