NPI | 1699788968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9103777) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PAT9103777) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2023-03-24 |