| NPI | 1386227536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: AZ 8566) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2022-04-04 |