NPI | 1629294947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 005021) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2016-11-14 |