NPI | 1659974517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011588) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062717) |
Enumeration Date | 2020-11-20 |
Last Update Date | 2021-11-02 |