NPI | 1164115853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601011731) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5601011731) |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-08-03 |