NPI | 1235242041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA3483) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA3483) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2010-11-10 |