| NPI | 1235537598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06324) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2704) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NC 0010-06324) | |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2019-02-28 |