NPI | 1013161967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 002191) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002191) |
Enumeration Date | 2008-11-05 |
Last Update Date | 2018-03-17 |