NPI | 1689566796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA007338) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA066786) |
Enumeration Date | 2025-07-15 |
Last Update Date | 2025-07-15 |