NPI | 1194939199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1154) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-01328) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2016-04-22 |