NPI | 1497779813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD c0001670) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-12-05 |