NPI | 1750864732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8948) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 8948) |
Enumeration Date | 2018-09-14 |
Last Update Date | 2019-01-29 |