NPI | 1265650980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 2177) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2177) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2024-07-11 |