| NPI | 1619659539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA95361) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA PA62967) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-10-19 |