NPI | 1396133799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005653) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA0004162) |
Enumeration Date | 2015-01-07 |
Last Update Date | 2016-02-03 |