NPI | 1538478292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 5977) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 005977) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2023-07-17 |