NPI | 1770562381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-184) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9101881) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2021-05-27 |