| NPI | 1609742121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119519) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL PA9119519) |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2026-03-25 |