NPI | 1407987324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA1850) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA AP1850) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2017-04-12 |