NPI | 1063468650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1107) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OK 1107) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2025-07-31 |