NPI | 1477001741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 6470) |
Enumeration Date | 2016-09-15 |
Last Update Date | 2025-07-21 |