NPI | 1720555345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60933978) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-11-01 |
Last Update Date | 2024-02-20 |