NPI | 1346868163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID 8461874) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-07-08 |
Last Update Date | 2024-11-08 |