NPI | 1326543562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111137) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9111137) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2018-03-29 |