NPI | 1588226179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7627) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 7627) |
Enumeration Date | 2019-07-03 |
Last Update Date | 2023-12-21 |