| NPI | 1376040030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008668) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 0010-07913) |
| 363A00000X Physician Assistant (Licence: NC 0010-07913) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-07-28 |