NPI | 1538693494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-920) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6073) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2019-10-11 |