NPI | 1346037447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0012222) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA066375) |
363A00000X Physician Assistant | |
Enumeration Date | 2025-04-22 |
Last Update Date | 2025-05-07 |