NPI | 1508449893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2601) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 100806) |
Enumeration Date | 2021-05-04 |
Last Update Date | 2023-09-28 |