NPI | 1386245827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA061981) |
Enumeration Date | 2020-11-02 |
Last Update Date | 2021-09-07 |