NPI | 1205856234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA-A10280.RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA A10280) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2011-04-07 |