NPI | 1336509959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NE 2000) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2000) |
Enumeration Date | 2016-02-24 |
Last Update Date | 2024-02-06 |