| NPI | 1689900755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C4068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD C0004068) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2016-12-19 |