NPI | 1346759818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3047) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005849) |
Enumeration Date | 2017-09-27 |
Last Update Date | 2018-12-20 |