NPI | 1265748263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C0004260) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0004260) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2023-06-16 |