NPI | 1033922844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-15198) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-15198) |
Enumeration Date | 2025-01-28 |
Last Update Date | 2025-04-09 |