NPI | 1437333580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1339) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: SC TL1339) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2022-03-02 |