NPI | 1609901594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA2662) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA2662) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2024-10-18 |