NPI | 1073259412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10952) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 10952) |
Enumeration Date | 2022-05-09 |
Last Update Date | 2024-01-18 |