NPI | 1689993255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA185957) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV pa0341) |
Enumeration Date | 2010-05-21 |
Last Update Date | 2018-01-26 |