NPI | 1619525037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA218628) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 10940) |
Enumeration Date | 2019-08-28 |
Last Update Date | 2025-02-25 |