| NPI | 1205633526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: FL PA9119992) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL NA) |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-08-28 |