| NPI | 1740855444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C5-0011772) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-05-07 |