| NPI | 1821381484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0010-02839) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2018-12-13 |