NPI | 1184739708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103422) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 103422) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2015-07-10 |