NPI | 1447512082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 6480) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2012-06-11 |
Last Update Date | 2024-12-13 |