NPI | 1427192442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC pa131) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002555) |
363AS0400X Physician Assistant, Surgical (Licence: DC PA131) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2024-04-08 |