NPI | 1275900268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059695) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-08-26 |
Last Update Date | 2024-01-25 |