| NPI | 1679106033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 6481) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2025-05-27 |