NPI | 1710616842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1980) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL 1980) |
Enumeration Date | 2022-06-06 |
Last Update Date | 2022-08-15 |