NPI | 1497322838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115666) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0006917) |
Enumeration Date | 2021-06-04 |
Last Update Date | 2024-08-09 |