NPI | 1205257359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 13-579) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: AZ 13-579) |
Enumeration Date | 2013-12-16 |
Last Update Date | 2017-07-19 |