NPI | 1215707591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA227573) |
Enumeration Date | 2024-01-08 |
Last Update Date | 2025-10-08 |