NPI | 1548990799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2368) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA214177) |
Enumeration Date | 2022-06-12 |
Last Update Date | 2024-09-09 |