NPI | 1023646262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MP00876600) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2024-11-14 |