NPI | 1275885071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200555) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: LA PA 200555) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2014-03-05 |