NPI | 1306949813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0002673) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110001668) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2008-04-11 |