NPI | 1952090268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0110009187) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110009187) |
Enumeration Date | 2023-05-03 |
Last Update Date | 2023-05-03 |