| NPI | 1689782989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 103764) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2014-08-13 |