NPI | 1669495941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10000732A) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: IN 10000732) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2023-11-27 |