NPI | 1497239511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111549) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1425) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2024-10-30 |