NPI | 1376872580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C04176) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2009-12-17 |
Last Update Date | 2010-06-04 |