NPI | 1386328839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C08976) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD C0008976) |
Enumeration Date | 2023-06-14 |
Last Update Date | 2024-12-05 |