NPI | 1750800215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C08354) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6788) |
Enumeration Date | 2017-09-15 |
Last Update Date | 2022-06-08 |