NPI | 1144539248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054307) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002440) |
Enumeration Date | 2010-10-07 |
Last Update Date | 2010-10-07 |