| NPI | 1255400388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1297) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 5747) |
| 207R00000X Internal Medicine (Licence: DC PA030391) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-07-19 |