NPI | 1477848711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: DC PA030767) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C04516) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2021-08-12 |