NPI | 1629757877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0012170) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0009651) |
Enumeration Date | 2023-07-14 |
Last Update Date | 2024-11-12 |