NPI | 1710541487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031761) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7445) |
Enumeration Date | 2019-04-27 |
Last Update Date | 2022-06-15 |