NPI | 1720332232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2253) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 6637) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2020-08-24 |