NPI | 1649746801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0008820) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9454) |
Enumeration Date | 2018-10-15 |
Last Update Date | 2023-05-25 |