| NPI | 1316293186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2013041113) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR PA-482) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR P-T1223) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2015-08-12 |