NPI | 1780086470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057245) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MW5116252) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2024-02-13 |