| NPI | 1699746826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA01270) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 3096) |
| 363A00000X Physician Assistant (Licence: AZ 3285) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-06-05 |