NPI | 1023443181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000980) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056360) |
Enumeration Date | 2013-09-09 |
Last Update Date | 2021-07-02 |