NPI | 1356861975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA A125067) |
Additional Taxonomies | 207N00000X Dermatology (Licence: GA 8205) |
Enumeration Date | 2017-06-24 |
Last Update Date | 2023-09-26 |