NPI | 1477120137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0006836) |
Enumeration Date | 2021-06-09 |
Last Update Date | 2022-03-24 |