NPI | 1447829585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8192) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA PA8192) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2024-04-23 |