| NPI | 1750304069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 100549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 100549) |
| 363A00000X Physician Assistant (Licence: SC 1434) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-01-09 |