| NPI | 1730781469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11079) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 001011079) |
| 363A00000X Physician Assistant | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2021-05-19 |