NPI | 1083160089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1725) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06158) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2021-05-26 |