NPI | 1255669297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118922) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085003606) |
Enumeration Date | 2009-12-03 |
Last Update Date | 2024-12-16 |