| NPI | 1417848953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 11213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 11213) |
| 363AM0700X Physician Assistant, Medical (Licence: AZ 11213) | |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-08-27 |