NPI | 1790433449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: NV PA2587) |
Enumeration Date | 2022-03-11 |
Last Update Date | 2022-04-13 |