NPI | 1568095016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5785) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 5110) |
Enumeration Date | 2020-02-12 |
Last Update Date | 2024-01-24 |