NPI | 1437872678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 56010119391) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-09-22 |
Last Update Date | 2023-01-13 |