| NPI | 1437698875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 2639) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2020-12-10 |