NPI | 1679570659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001570) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 899) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2024-08-14 |