NPI | 1073524864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9103579) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9103579) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2019-02-07 |