NPI | 1366413890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006367) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051211) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2023-01-26 |