| NPI | 1851947857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MA060754) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MA060754) | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-02-23 |