NPI | 1598750374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106446) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 000571) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2023-04-27 |