NPI | 1003913898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0699) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 7371) |
363A00000X Physician Assistant (Licence: FL PA9108339) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-07-21 |