NPI | 1285166397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 61069408) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020711-1) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2021-05-10 |