NPI | 1497265409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031397) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005816) |
Enumeration Date | 2017-10-04 |
Last Update Date | 2017-10-04 |