NPI | 1568983187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031448) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2017-07-05 |
Last Update Date | 2022-10-18 |