| NPI | 1376165100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 4869) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2025-03-13 |