NPI | 1477706968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA1680) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA200705) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2015-07-27 |