NPI | 1043917354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-13523) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-13523) |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-09-12 |