NPI | 1295709541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 4026) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1893) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2021-12-06 |