NPI | 1750637815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9106657) |
Enumeration Date | 2012-07-26 |
Last Update Date | 2019-09-09 |