| NPI | 1366031171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0110-007517) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2022-07-21 |