NPI | 1518183482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C03369) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003369) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2014-10-07 |