NPI | 1578819405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-484) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AR P-T1224) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2019-01-30 |