| NPI | 1902560543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA205770) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR PA205770) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-01-18 |