NPI | 1568746139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110011222) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2013-0072) |
363A00000X Physician Assistant (Licence: AZ 6672) | |
363A00000X Physician Assistant (Licence: KS 15-02485) | |
363A00000X Physician Assistant (Licence: IL 085-004036) | |
Enumeration Date | 2011-09-30 |
Last Update Date | 2025-08-18 |