NPI | 1063415180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA A10535) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA PA.A10535) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2024-08-07 |