NPI | 1821486283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057986) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OA003424) |
Enumeration Date | 2015-01-07 |
Last Update Date | 2020-09-01 |