NPI | 1689727141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0002828) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002051) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2021-10-15 |