NPI | 1548817000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-09357) |
Enumeration Date | 2019-08-20 |
Last Update Date | 2019-08-22 |