NPI | 1265549083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112865) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001389) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2023-09-13 |