NPI | 1417923822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA3225) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA3225) |
Enumeration Date | 2006-02-25 |
Last Update Date | 2025-01-15 |