NPI | 1598079196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 2560-23) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 2560-23) |
Enumeration Date | 2010-08-06 |
Last Update Date | 2021-01-14 |