| NPI | 1932714029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 10003067A) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2022-07-11 |