NPI | 1073892436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9108099) |
Enumeration Date | 2011-08-16 |
Last Update Date | 2017-03-17 |