NPI | 1578527297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1640-23) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 1640) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2024-03-18 |