NPI | 1750841151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011985) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060539) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2023-10-23 |