| NPI | 1487366837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA064277) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 1198684) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2023-02-10 |