NPI | 1669217436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3432) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-06-25 |
Last Update Date | 2024-10-14 |