NPI | 1699742205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN PA229) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN PA229) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2023-06-16 |