NPI | 1285305631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MD 0214782) |
Enumeration Date | 2021-09-24 |
Last Update Date | 2023-07-01 |