NPI | 1336740810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA PA60604) |
Enumeration Date | 2020-11-02 |
Last Update Date | 2022-02-02 |