NPI | 1477170546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA9339) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA PA9338) |
363A00000X Physician Assistant | |
Enumeration Date | 2020-07-06 |
Last Update Date | 2024-02-07 |