NPI | 1285609438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0002014) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0002014) |
363AS0400X Physician Assistant, Surgical (Licence: MD C0002014) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2018-02-28 |