| NPI | 1891023362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL 9105966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME91258) |
| Enumeration Date | 2009-11-21 |
| Last Update Date | 2019-03-05 |