NPI | 1457429003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1442) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110002447) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2012-11-19 |