NPI | 1770748097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: LA PA.200279) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2008-07-25 |
Last Update Date | 2009-08-19 |