NPI | 1093552200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C09541) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-07-15 |
Last Update Date | 2025-01-07 |