| NPI | 1457096356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0110008542) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |