NPI | 1720516537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3210) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 3210) |
Enumeration Date | 2017-05-24 |
Last Update Date | 2022-03-04 |