| NPI | 1992747141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA4555) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 1054) |
| 363A00000X Physician Assistant (Licence: CT 001054) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-11-18 |