NPI | 1447683156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA173932) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA173932) |
363A00000X Physician Assistant | |
Enumeration Date | 2013-08-16 |
Last Update Date | 2025-08-20 |