NPI | 1538142831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-268) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2005-11-22 |
Last Update Date | 2023-11-13 |