| NPI | 1427895978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0010-14317) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-17 |