NPI | 1558486035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA263) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13386) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2008-06-13 |