NPI | 1710865423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL TPPA1007) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 2676PA) |
Enumeration Date | 2025-08-22 |
Last Update Date | 2025-08-23 |