NPI | 1467755199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PR 1670-PA) |
Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate |
Enumeration Date | 2010-12-20 |
Last Update Date | 2023-05-22 |