NPI | 1194061143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2188) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK APA2188) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2022-06-08 |