NPI | 1497080071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC TL1462) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030694) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2010-12-16 |