NPI | 1144387044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103879) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 103879) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2021-03-30 |