NPI | 1467935213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9111663) |
Enumeration Date | 2018-09-07 |
Last Update Date | 2021-12-10 |