NPI | 1598426280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C09225) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA117895) |
Enumeration Date | 2022-01-04 |
Last Update Date | 2024-01-26 |