NPI | 1376785014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.636) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL PA-636) |
Enumeration Date | 2009-03-26 |
Last Update Date | 2023-11-16 |