| NPI | 1205559077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0110009587) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2023-10-18 |