NPI | 1083482913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0008364) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-12-20 |
Last Update Date | 2024-01-29 |