NPI | 1205356565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TN 3316) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TN 3316) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2021-04-20 |