NPI | 1407640725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 12984) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: 12984) |
363A00000X Physician Assistant (Licence: GA 12984) | |
Enumeration Date | 2025-04-09 |
Last Update Date | 2025-04-28 |