NPI | 1235242488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C02453) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA30198) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2018-09-18 |