NPI | 1295420875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001820) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0009332) |
Enumeration Date | 2023-04-10 |
Last Update Date | 2024-04-19 |