NPI | 1255752283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00191) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2402) |
Enumeration Date | 2013-12-17 |
Last Update Date | 2013-12-17 |