NPI | 1689455230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-13397) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0010-13397) |
208M00000X Hospitalist (Licence: NC 0010-13397) | |
363A00000X Physician Assistant (Licence: NC 0010-13397) | |
Enumeration Date | 2023-10-10 |
Last Update Date | 2024-02-13 |