| NPI | 1205426129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200001270) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2025-08-11 |