NPI | 1518460229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2035) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2018004207) |
Enumeration Date | 2018-03-09 |
Last Update Date | 2023-11-15 |