NPI | 1568973287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07372) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-07372) |
Enumeration Date | 2017-10-20 |
Last Update Date | 2023-03-07 |