| NPI | 1194327510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 8224) |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-04-15 |