NPI | 1326002213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 1005) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1005-23) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2021-01-07 |