NPI | 1346735735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-906) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55551) |
Enumeration Date | 2018-06-27 |
Last Update Date | 2020-10-13 |