NPI | 1669421046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051200) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MA051200) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2021-01-07 |