NPI | 1336776657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5841-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 101673) |
363AM0700X Physician Assistant, Medical (Licence: IA 101673) | |
Enumeration Date | 2020-03-25 |
Last Update Date | 2023-11-13 |