NPI | 1700597325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 7204-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 720423) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2024-12-18 |