NPI | 1568661916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02033) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02033) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2024-05-13 |