| NPI | 1366842585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL PA9108289) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2025-04-01 |