NPI | 1093769119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8125) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 9580) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2023-07-13 |