NPI | 1033541982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005131) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-004326) |
Enumeration Date | 2013-08-02 |
Last Update Date | 2019-01-29 |