NPI | 1013033778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0003752) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062204) |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2025-03-12 |