NPI | 1396077384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 3406) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0004135) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2022-07-21 |