NPI | 1013147859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105072) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2009-07-14 |
Last Update Date | 2011-12-09 |