NPI | 1750616033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TN 1751) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TN 1751) |
Enumeration Date | 2009-10-05 |
Last Update Date | 2016-10-10 |