NPI | 1033538764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA189829) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2022-11-30 |