NPI | 1265988299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6509) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant Surgical | |
Enumeration Date | 2016-08-30 |
Last Update Date | 2020-10-09 |