NPI | 1396173019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA056394) |
Additional Taxonomies | 208800000X Urology (Licence: PA MA056394) |
Enumeration Date | 2013-10-15 |
Last Update Date | 2022-07-21 |