NPI | 1245613140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: VA 1245613140) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2015-07-09 |
Last Update Date | 2024-08-19 |