NPI | 1790780245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA002032L) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA000239L) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2014-07-29 |