NPI | 1932714029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 10003067A) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2024-06-26 |