NPI | 1437304268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 2436) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601005720) |
Enumeration Date | 2008-11-20 |
Last Update Date | 2017-04-03 |