NPI | 1033735204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC PA3575) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC PA3575) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2023-11-07 |