NPI | 1629553383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10810) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006922) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2025-07-25 |