| NPI | 1316371164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0010-04287) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2021-11-30 |