NPI | 1780227033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 3015) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007387) |
Enumeration Date | 2019-10-18 |
Last Update Date | 2025-07-03 |