NPI | 1669851945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2015-0038) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2015-05-20 |
Last Update Date | 2023-08-22 |