| NPI | 1386314912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006107) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 26155239) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2022-08-16 |