NPI | 1235868324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT MED-PAC-LIC-113139) |
Enumeration Date | 2022-06-06 |
Last Update Date | 2024-02-19 |