NPI | 1386237303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011510) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062297) |
Enumeration Date | 2021-02-20 |
Last Update Date | 2021-02-20 |