NPI | 1659683167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02394) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02394) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2024-07-31 |