NPI | 1275608739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA745) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ID PA-745) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-10-01 |