| NPI | 1629887518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0002863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD C0002863) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |