NPI | 1396455655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 1222068) |
Enumeration Date | 2022-11-28 |
Last Update Date | 2024-03-18 |