NPI | 1699844944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0660) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 16939) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2009-08-04 |