NPI | 1154915197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9633) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA210788) |
Enumeration Date | 2021-02-20 |
Last Update Date | 2025-06-02 |