| NPI | 1689756942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC A901) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-02-15 |