NPI | 1477826329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 22360) |
Enumeration Date | 2012-02-22 |
Last Update Date | 2013-01-08 |