| NPI | 1881393254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC MPA.4788) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-11-06 |