NPI | 1245667401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C50000907) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0005197) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2013-10-02 |