NPI | 1780923235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1714) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 074022) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2020-12-31 |