NPI | 1417159179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1751) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002908) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2008-08-12 |