NPI | 1356867733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008307) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601008307) |
Enumeration Date | 2017-08-17 |
Last Update Date | 2023-03-03 |