NPI | 1447407481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003097) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5601003289) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2016-11-02 |