NPI | 1699057414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ZZ 1091556) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2011-09-19 |
Last Update Date | 2020-11-13 |