NPI | 1619367109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2980) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 007499) |
Enumeration Date | 2015-02-04 |
Last Update Date | 2018-08-30 |