NPI | 1447915012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006108) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062782) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2024-01-02 |