NPI | 1437399011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004185) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004185) |
Enumeration Date | 2009-02-23 |
Last Update Date | 2017-02-21 |