NPI | 1033510508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5748) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 5748) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2022-07-29 |