NPI | 1588420921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: 085010598) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO PA.0008329) |
Enumeration Date | 2024-02-23 |
Last Update Date | 2024-11-04 |