| NPI | 1336740810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA PA60604) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2022-02-02 |