NPI | 1437595634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6779) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 6779) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2024-01-10 |