NPI | 1568779155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3610) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 3610) |
Enumeration Date | 2010-09-03 |
Last Update Date | 2019-03-27 |