NPI | 1023074721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 1478) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 1478) |
Enumeration Date | 2006-04-22 |
Last Update Date | 2021-02-11 |