NPI | 1215313903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: LA PA.200846) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200846) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2019-04-29 |