NPI | 1588623367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001002915) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010268-1) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2022-08-26 |