| NPI | 1407001795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 1600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 1600) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2022-11-08 |