NPI | 1801441928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2019035876) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007316) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2024-10-04 |