NPI | 1265490742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA052396) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052396) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2024-04-24 |