NPI | 1003213869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06554) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2014-11-21 |
Last Update Date | 2017-11-01 |