| NPI | 1487358990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 11504) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: GA 11504) | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-06-18 |