NPI | 1346911955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008119) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-09-23 |
Last Update Date | 2022-09-14 |