NPI | 1639227218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL ARNP9281094) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9281094) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2019-04-19 |