| NPI | 1952411647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2412) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WY 290) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-01-26 |