NPI | 1699970145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA2333) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 2333) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2011-12-20 |