NPI | 1356689467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA0003722) |
Enumeration Date | 2013-01-24 |
Last Update Date | 2015-09-23 |