NPI | 1336924919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-13753) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-08-30 |
Last Update Date | 2023-11-22 |