NPI | 1154634244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1535) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01496) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2014-12-11 |