NPI | 1235157488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2003) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 103723) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-01-30 |