NPI | 1043321573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001508) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 760) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-11-09 |