NPI | 1407664238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12958) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: GA 1407664238) | |
Enumeration Date | 2024-12-26 |
Last Update Date | 2025-05-30 |