| NPI | 1942895255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8251) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA PA8251) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-01-25 |