NPI | 1386264828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL PA9113182) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL PA9113182) | |
Enumeration Date | 2020-04-24 |
Last Update Date | 2022-08-11 |