NPI | 1689740508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK 752) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AK 1816) |
Enumeration Date | 2006-11-24 |
Last Update Date | 2022-03-23 |