NPI | 1558562629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA637) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KY PA637) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2015-01-17 |