NPI | 1497431050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 3216) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 130521) |
Enumeration Date | 2023-06-27 |
Last Update Date | 2025-02-26 |