NPI | 1164987251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 245463) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 245463) |
Enumeration Date | 2019-02-04 |
Last Update Date | 2024-06-19 |