NPI | 1134424492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50004400RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06977) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2020-12-08 |