NPI | 1285805499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-03567) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104473) |
Enumeration Date | 2008-03-14 |
Last Update Date | 2016-07-22 |