NPI | 1639129554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004152A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-001907) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2024-03-29 |