NPI | 1508142670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 5011) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5011) |
Enumeration Date | 2011-11-02 |
Last Update Date | 2013-04-11 |