NPI | 1417508722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 7704) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-09-27 |
Last Update Date | 2024-07-30 |