NPI | 1184098832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 9782) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 2476) |
Enumeration Date | 2015-11-18 |
Last Update Date | 2024-02-26 |