NPI | 1366987307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058802) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058802) |
Enumeration Date | 2016-12-29 |
Last Update Date | 2022-08-26 |