NPI | 1477510808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C03737) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 969) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2008-12-18 |