NPI | 1245420538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C50000593) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DE C50000593) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2008-05-06 |