NPI | 1376528901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK PA1007) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107151) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2020-04-02 |