NPI | 1578098901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118095) |
Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Enumeration Date | 2017-04-24 |
Last Update Date | 2023-10-24 |