NPI | 1144677535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 230136) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60796453) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2024-12-16 |