NPI | 1548929276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115109) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9115109) |
Enumeration Date | 2021-12-09 |
Last Update Date | 2022-01-20 |