| NPI | 1265022180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 0010-11948) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-06-16 |