NPI | 1396795274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 3699) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA 052468) |
363A00000X Physician Assistant (Licence: SC 3699) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2024-11-03 |