NPI | 1932601887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6488) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA PA6488) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2020-08-07 |