NPI | 1417006115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-00315) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 200500264) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2023-11-22 |