NPI | 1467000208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10828) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA195145) |
Enumeration Date | 2019-08-26 |
Last Update Date | 2024-08-06 |