NPI | 1265259089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NE 3161) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 3161) |
Enumeration Date | 2024-09-23 |
Last Update Date | 2024-09-27 |