| NPI | 1720586274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0110-00649) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2023-03-29 |