NPI | 1639724669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060898) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MA060898) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2020-01-13 |