NPI | 1255458931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2024034954) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0110002503) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2024-08-28 |