NPI | 1750939641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006778) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-006778) |
Enumeration Date | 2019-09-03 |
Last Update Date | 2025-02-19 |