NPI | 1518305580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 1111) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7475) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2021-03-23 |