| NPI | 1922422013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04906) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018039122) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2018-11-07 |