| NPI | 1265314314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-15543) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 0010-15543) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-09-08 |