NPI | 1205559077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0110009587) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-09-26 |
Last Update Date | 2023-10-18 |