NPI | 1508926296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA002880L) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-12-11 |
Last Update Date | 2023-06-27 |