NPI | 1326178138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TN 1494) |
Additional Taxonomies | 363A00000X Physician Assistant |
207P00000X Emergency Medicine (Licence: TN 1494) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2013-10-24 |