NPI | 1447251830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9101259) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 1642) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2024-06-24 |