NPI | 1437868759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200002182) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2022048969) |
Enumeration Date | 2022-11-15 |
Last Update Date | 2025-08-07 |