NPI | 1497750061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0002574) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030272) |
363A00000X Physician Assistant (Licence: VA 0110001741) | |
Enumeration Date | 2005-06-20 |
Last Update Date | 2007-07-08 |