NPI | 1386199396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-13578) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085005854) |
Enumeration Date | 2016-08-19 |
Last Update Date | 2023-11-02 |