| NPI | 1306552526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 11293) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-04-18 |