NPI | 1013466549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA179181) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA179181) |
Enumeration Date | 2016-09-26 |
Last Update Date | 2024-11-04 |