| NPI | 1447848304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5605227456) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-02-15 |