NPI | 1386287084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09232) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-10-25 |
Last Update Date | 2023-02-24 |