NPI | 1477955680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06143) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057189) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2024-06-28 |