| NPI | 1568240091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 9963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 9963) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-11-01 |