NPI | 1447371737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 627) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 020341) |
363A00000X Physician Assistant (Licence: OH 50001943) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2017-03-24 |