| NPI | 1447039235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5601012109) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-04-15 |