NPI | 1497230320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111627) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200002132) |
Enumeration Date | 2018-09-26 |
Last Update Date | 2025-02-20 |