NPI | 1437911005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 3046) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 124022) |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-01-29 |