NPI | 1417512187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001319) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2019-05-07 |
Last Update Date | 2019-08-19 |