NPI | 1649485533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1676) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA02443) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2021-10-09 |