NPI | 1437527520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA184784) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR 1145279) |
363A00000X Physician Assistant (Licence: OR PA184784) | |
Enumeration Date | 2015-09-08 |
Last Update Date | 2020-12-30 |