| NPI | 1780778175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60541343) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM PA2005-0024) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-02-02 |