NPI | 1699821819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C05868) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052829) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2023-09-17 |