NPI | 1245472786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1438) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001140A) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2020-12-30 |