NPI | 1033548151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 2520) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-5598) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2025-05-15 |