NPI | 1598284572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06676) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-09-11 |
Last Update Date | 2024-09-19 |