NPI | 1801131438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055425) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-12-07 |
Last Update Date | 2024-02-08 |