NPI | 1801226949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056224) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2013-11-26 |
Last Update Date | 2024-05-21 |