NPI | 1124866389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065659) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA065659) |
Enumeration Date | 2024-07-19 |
Last Update Date | 2024-08-24 |