NPI | 1538750732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4501) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TN 4501) |
Enumeration Date | 2021-01-30 |
Last Update Date | 2024-03-26 |