| NPI | 1851738348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 006867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 6867) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2024-03-25 |