NPI | 1285970236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04451) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-12-19 |
Last Update Date | 2023-10-05 |