| NPI | 1437886348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008588) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0110008588) |
| 207R00000X Internal Medicine (Licence: VA 0110008588) | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2025-04-18 |