NPI | 1205810496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3251) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3251) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2023-01-23 |