| NPI | 1518628932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC GUTK-ZB38P7) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2023-07-22 |