NPI | 1609213529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11000) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0697) |
Enumeration Date | 2013-06-01 |
Last Update Date | 2022-07-25 |