NPI | 1063748804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000802) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105277) |
Enumeration Date | 2009-10-29 |
Last Update Date | 2024-05-16 |