NPI | 1457718892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA-1113) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL TA.1816) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2016-09-09 |