| NPI | 1629674510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MA062102) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2025-07-22 |