NPI | 1639146152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06669) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001176) |
363A00000X Physician Assistant (Licence: GA 6330) | |
Enumeration Date | 2006-03-02 |
Last Update Date | 2018-03-17 |