NPI | 1679227060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110009052) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-02-05 |
Last Update Date | 2023-02-09 |