NPI | 1437574712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5661) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 5661) |
Enumeration Date | 2014-02-24 |
Last Update Date | 2023-07-12 |