NPI | 1376566182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-410) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102973) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2020-08-12 |