NPI | 1154368793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 2690) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 2690) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2019-07-23 |