NPI | 1114910247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 1120) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1120) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2023-11-20 |