NPI | 1700972528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00681) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2024-06-03 |