NPI | 1699537902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: AR PA1254) | |
Enumeration Date | 2024-01-23 |
Last Update Date | 2024-04-01 |