NPI | 1568056737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant |
174H00000X Health Educator | |
Enumeration Date | 2021-02-26 |
Last Update Date | 2023-09-02 |