NPI | 1518338516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9109037) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110010541) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2025-06-03 |