NPI | 1386930964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6160) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 6160) |
363AS0400X Physician Assistant, Surgical (Licence: GA 6160) | |
Enumeration Date | 2011-06-22 |
Last Update Date | 2024-06-11 |