NPI | 1659688174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-857) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ID PA857) |
Enumeration Date | 2010-09-03 |
Last Update Date | 2022-04-25 |