NPI | 1558774927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056881) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2021-08-13 |