NPI | 1467692467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 9745429-1206) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 2008) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2017-10-24 |