NPI | 1477195089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA PA7234) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA7234) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2019-11-05 |