NPI | 1508287061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-1150) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2013-12-30 |
Last Update Date | 2022-07-19 |