NPI | 1073793618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 002255) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3729) |
Enumeration Date | 2007-11-12 |
Last Update Date | 2012-05-17 |