NPI | 1760851299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06810) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0001107) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2022-04-06 |