NPI | 1366875346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01621) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: KS 15-01621) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2023-01-30 |