| NPI | 1285205906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5601010705) |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2024-01-17 |