NPI | 1023265022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA A10604) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: LA A10604) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2009-06-17 |