NPI | 1275124547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62922) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.006874) |
Enumeration Date | 2021-01-29 |
Last Update Date | 2024-01-09 |