| NPI | 1851490718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 004729) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 004729) |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA21654) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-09-03 |