NPI | 1336293240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-00778) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 001000778) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2023-05-31 |