| NPI | 1912463936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8252) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 8252) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 8252) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-10-06 |