NPI | 1275511727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003018) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108426) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2016-11-08 |