NPI | 1700631751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: DE C5-0012064) |
Enumeration Date | 2024-04-23 |
Last Update Date | 2024-06-28 |