NPI | 1285646315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12105) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA2361) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2024-03-01 |