NPI | 1407046832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 001660) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2007-08-01 |
Last Update Date | 2014-03-25 |