| NPI | 1467093492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112647) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL PA9112647) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-09-15 |