NPI | 1093486060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11578) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 11578) |
Enumeration Date | 2021-09-21 |
Last Update Date | 2024-10-03 |