NPI | 1740394972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 268114-1206) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10003282) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2008-07-22 |