| NPI | 1790875870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA00672) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR PA00672) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR PA00672) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR PA00672) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-02-11 |