| NPI | 1386264828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL PA9113182) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL PA9113182) | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2022-08-11 |