NPI | 1609475672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 5596-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 5596) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2023-05-26 |