NPI | 1629213871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4356) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003037A) |
Enumeration Date | 2008-12-02 |
Last Update Date | 2020-08-28 |