NPI | 1437765088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2806) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2465) |
Enumeration Date | 2020-09-18 |
Last Update Date | 2024-08-02 |