| NPI | 1831784693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA PA59219) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA59219) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-11-25 |