NPI | 1427145317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001216A) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-002534) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2022-06-01 |