NPI | 1043236037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02641) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 001781) |
363AM0700X Physician Assistant, Medical (Licence: NC 0010-02641) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2023-07-21 |