NPI | 1699556811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2023040432) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2023040432) |
Enumeration Date | 2023-10-12 |
Last Update Date | 2023-10-12 |