NPI | 1518968403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK 759) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA61298356) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2023-07-17 |