NPI | 1407244247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9108441) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PAT9108441) |
Enumeration Date | 2015-01-01 |
Last Update Date | 2015-04-08 |