NPI | 1366751422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200382) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: LA PA.200382) |
Enumeration Date | 2010-10-06 |
Last Update Date | 2023-12-20 |