NPI | 1790187805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1972) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 007356) |
Enumeration Date | 2014-09-19 |
Last Update Date | 2025-03-06 |