NPI | 1699420257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118209) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-02-12 |
Last Update Date | 2024-05-24 |