NPI | 1093955353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053790) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002342) |
Enumeration Date | 2009-02-26 |
Last Update Date | 2013-08-05 |