| NPI | 1841776531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 1952590630) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2019-05-16 |