| NPI | 1942832043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207R00000X Internal Medicine (Licence: FL 9112842) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2025-10-08 |