NPI | 1134145998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA PA10342RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PAA10342) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-03-22 |