NPI | 1629786363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5925) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2022-11-11 |
Last Update Date | 2024-08-07 |