NPI | 1497474894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1403) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2022-08-26 |
Last Update Date | 2023-10-30 |