NPI | 1205840493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA2733) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA0002733) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2011-01-12 |