NPI | 1134381106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104617) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PAT9104617) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2025-06-20 |