| NPI | 1356027510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 337385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 337385) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-08-15 |