NPI | 1033349808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006617) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60372079) |
363A00000X Physician Assistant (Licence: CA PA20413) | |
363A00000X Physician Assistant (Licence: NY 023414-1) | |
Enumeration Date | 2009-07-15 |
Last Update Date | 2025-06-24 |