| NPI | 1326484841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: AL PA 886) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: AL PA 886) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |