NPI | 1093290520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PA56632) |
Enumeration Date | 2018-10-01 |
Last Update Date | 2023-01-23 |