| NPI | 1831585801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0010-05668) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2019-07-16 |