NPI | 1639578289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.970) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL PA.970) |
Enumeration Date | 2014-08-20 |
Last Update Date | 2024-04-04 |