NPI | 1457490492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA 1999) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1999) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2018-07-17 |