NPI | 1740772250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006830) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003593A) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2022-12-12 |