NPI | 1073555306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA01095) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA01095) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2024-04-19 |