NPI | 1326312182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1625) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NE 1625) |
Enumeration Date | 2012-02-25 |
Last Update Date | 2018-03-17 |