NPI | 1740356161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 004918) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004918) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2021-02-26 |