| NPI | 1871265223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL TRN34488) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2022-06-16 |