NPI | 1003925967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 5715) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103077) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2015-09-22 |