NPI | 1194038562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054408) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054408) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2024-09-20 |