NPI | 1407376734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 088105) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-06-27 |
Last Update Date | 2023-08-21 |