NPI | 1497049639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02922) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 006847) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2013-08-07 |