NPI | 1780638643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1852) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 102604) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2021-06-04 |