NPI | 1467093492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112647) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL PA9112647) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2022-09-15 |