NPI | 1326893413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118754) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2024-04-22 |
Last Update Date | 2025-07-25 |