NPI | 1285820738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 1240) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC LL1240) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2022-09-28 |