NPI | 1477180198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10003260A) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant, Surgical (Licence: DE C5-0001394) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-06-20 |