NPI | 1386972131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: OK 117717) |
Enumeration Date | 2009-12-04 |
Last Update Date | 2018-06-12 |