NPI | 1578318960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC MPA.5236) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9118484) |
Enumeration Date | 2024-04-19 |
Last Update Date | 2024-04-19 |