NPI | 1194730663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2004-0055) |
Additional Taxonomies | 208600000X Surgery (Licence: NM PA2004-0055) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2021-11-23 |