| NPI | 1225501927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 001008610) |
| 363A00000X Physician Assistant (Licence: NC 0010-08610) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2024-06-20 |