| NPI | 1538721451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4736-23) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 4736-23) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-12-05 |