NPI | 1669876645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7948) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057264) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2023-12-22 |