NPI | 1306974951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM 94-PA23) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 94-PA23) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2014-09-19 |