NPI | 1336164201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 2676) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 2676) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2013-08-06 |